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CROSSPEAKS SERVICES INC. NPI 1053463752


NPI Information

NPI: 1053463752
Provider Name: CROSSPEAKS SERVICES, INC.

Doing Business As: RIDGELINE PEDIATRIC DAY HEALTH AND RESPITE SERVICES

Classification: Skilled Nursing Facility - 3140N1450X
Entity Type: Organization

Specialization: Nursing Care, Pediatric

CLIA Number: 05D2262827

Address:
11270 ROUGH AND READY HWY
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 477-3378
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CROSSPEAKS SERVICES, INC. is a nursing care and pediatric skilled nursing facility in Grass Valley, CA. The provider is a nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. CROSSPEAKS SERVICES, INC. NPI is 1053463752. The provider is registered as an organization entity type.
The provider Is Doing Business As Ridgeline Pediatric Day Health And Respite Services.

The provider's business location address is:

11270 ROUGH AND READY HWY
GRASS VALLEY, CA
ZIP 95945-530
Phone: (530) 477-3378
Fax: (530) 477-7068

The provider's authorized official is Michael Lyman .
The authorized official title is Owner/president/ceo and has the following contact phone number (435) 881-6338.

The CLIA number assigned to this NPI record is 05D2262827 - other - government employment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 2/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13140N1450XSkilled Nursing FacilityNursing Care, Pediatric550000017CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1EPSP00110OTHERCALIFORNIAMEDI-CAL PROVIDER NUMBER
2HA0890OTHERCALIFORNIAALTA CALIFORNIA REGIONAL CENTER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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